Results of Different Types of Operations in Patients with Pelvic Congestion Syndrome

Янина, А. М.; Кириенко, А. И.; Sg, Gavrilov; Yanina, A. M.; Turishcheva, O. O.

doi:10.17116/flebo201610144-49

Cited by 16 publications

(3 citation statements)

References 7 publications

(7 reference statements)

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“…At the same time, this endovascular technique has some inherent limitations, such as the risk of migration or protrusion of coils, persistence or even intensification of pain syndrome, radiation exposure to the doctor and patient, and allergic reactions to contrast agents and implanted coils [7,15,16]. Some authors suggest that protrusion of coils may be a cause of increased pelvic pain after EEGV [17,18]. Another reason of failure when using this technique can be the development of an allergic reaction to nitinol coils implanted into the gonadal veins [19,20].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Venoactive Drug Therapy on the Development and Severity of Post-Embolization Syndrome in Endovascular Interventions on the Gonadal Veins

Krasavin

Mishakina

et al. 2021

JPM

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Objective. To evaluate the incidence of post-embolization syndrome (PES) and the effect of venoactive therapy on its development, severity, and duration after endovascular embolization of gonadal veins (EEGV) with coils in patients with pelvic congestion syndrome (PCS). Materials and Methods. We analyzed the outcomes of EEGV with coils in 70 female patients who received (n = 38; group 1) or did not receive (n = 32; group 2) treatment with a venoactive drug (VAD) before and after the procedure. Assessments of the EEGV efficacy and for possible signs of PES were done on days 1, 5, 10, 15, 20, and 30 after the intervention. All patients underwent transvaginal and transabdominal duplex ultrasound scanning (DUS) after EEGV. In addition, patients with PES were examined using the computed tomography of the pelvic veins in the postprocedural period. Results. Technical success of EEGV was achieved in 100% of patients. Pelvic venous pain (PVP) reduction after EEGV was observed in 77.1% of patients. The PES was diagnosed in 18.6% of cases (10.5% in group 1 vs. 28.1% in group 2, p > 0.05). In three patients of group 1, the protrusion of coils was suspected and eventually verified during the resection of the left gonadal vein with coils. The group 1 patients had less severe post-embolization pain (6.2 ± 0.4 vs. 7.8 ± 0.3 scores in group 2; p = 0.009) and three times shorter duration of PES (5.0 ± 1.2 vs. 16.2 ± 2.7 days; p = 0.003). No significant differences in the diameters of gonadal veins, side of embolization, and number of coils were revealed between patients with and without PES. The rate of parametrium vein thrombosis was found to be significantly higher in patients with PES than in those without PES (30.7% vs. 18.5%, respectively; p < 0.05). Conclusion. The PES is a frequent complication of EEGV with coils and occurs in 18.6% of patients. Venoactive treatment does not effect the incidence of this complication but reduces the PES severity and duration.

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Section: Discussionmentioning

confidence: 99%

The Effect of Venoactive Drug Therapy on the Development and Severity of Post-Embolization Syndrome in Endovascular Interventions on the Gonadal Veins

Krasavin

Mishakina

et al. 2021

JPM

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“…Surgical methods are considered among the primary modalities for treating PVI. However, postoperative recurrences reach 80% and constitute today a topical problem of surgical phlebology [13][14][15][16][17][18] . Existing operative treatment methods for pelvic pain in PVI are presacral neurectomy, excision of the uterovaginal ganglion, ovarian sympathectomy, and dissection of sacroiliac ligaments 16 .…”

Section: Introductionmentioning

confidence: 99%

“…The primary objective of all these techniques is to interrupt the flow of afferent pain impulses coming from the female internal genitalia. It should be noted that the above surgical interventions have insufficiently high clinical efficacy (33%-63%) in relieving pelvialgia and are accompanied by serious complications, including a high probability of injury to large blood vessels (middle sacral vein and artery, common iliac vein, and vena cava), lymph vessels, and ureters; and the development of remote complications such as bowel and bladder dysfunction 14 . Ovarian sympathectomy has a high probability of vascular injury followed by retroperitoneal hematoma formation, development of cystic ovarian remodeling, decreased ovarian reserve due to insufficient blood supply to the ovaries, ovarian insufficiency, and endocrine sterility development [19][20][21] .…”

Section: Introductionmentioning

confidence: 99%

Successful treatment of pelvic venous incompetence by a single-stage combined laparoscopic intervention: A case report

et al. 2023

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Introduction: Pelvic venous incompetence (PVI) is the most common chronic pathology, mainly affecting women of different ages. Its characteristic signs include pelvic venous fullness syndrome and chronic pelvic pain, contributing to temporary disability and impaired reproductive function. While there are known surgical treatment methods for pelvic pain in PVI, they have numerous complications. Case presentation: A 39-year-old female patient presented with PVI and chronic pelvic pain, dysmenorrhea, and infertility. They underwent simultaneous combined reconstructiveplastic conservative surgical treatment under 3D laparoscopic video monitoring. Conclusion: The patient's treatment outcome was characterized by decreased pelvic pain, normalized menstrual function, and a long-awaited uterine pregnancy ending with the birth of a full-term baby. The two successively performed surgical treatment procedures had a cumulative therapeutic effect, relieving the patient's varicose pelvic pain due to various causes and restoring their reproductive function.

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Venous Thromboembolism After Interventions on the Ovarian Veins in Patients With Pelvic Venous Disorder

Mishakina

Grishenkova

2023

Annals of Vascular Surgery

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Results of Different Types of Operations in Patients with Pelvic Congestion Syndrome

Cited by 16 publications

References 7 publications

The Effect of Venoactive Drug Therapy on the Development and Severity of Post-Embolization Syndrome in Endovascular Interventions on the Gonadal Veins

The Effect of Venoactive Drug Therapy on the Development and Severity of Post-Embolization Syndrome in Endovascular Interventions on the Gonadal Veins

Successful treatment of pelvic venous incompetence by a single-stage combined laparoscopic intervention: A case report

Venous Thromboembolism After Interventions on the Ovarian Veins in Patients With Pelvic Venous Disorder

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